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促进年轻成年人的预先医疗照护计划:健康参与工作坊的可行性、实施和效果的初步研究。

Promotion of Advance Care Planning Among Young Adults: A Pilot Study of Health Engagement Workshop Feasibility, Implementation, and Efficacy.

机构信息

Department of Health Infrastructure and Learning Systems, 12266University of Michigan Medical School, Ann Arbor, MI, USA.

Judy Genshaft Honors College, 7831University of South Florida, Tampa, FL, USA.

出版信息

Am J Hosp Palliat Care. 2021 May;38(5):441-447. doi: 10.1177/1049909120951161. Epub 2020 Aug 17.

Abstract

OBJECTIVE

This pilot study set out to evaluate the feasibility and efficacy of an interactive, peer-led, health engagement workshop to improve confidence and comprehension related to advance care planning (ACP) among young adults. Secondarily, this study evaluated if such workshops could promote ACP related behavior changes within this population.

METHODS

This observational cohort study utilized a repeated measures, mixed-method design. Six hour-long, in-person workshops were conducted with undergraduate students during meetings of university student organizations. Participants were evaluated across 3 mixed-method surveys, evaluating confidence, knowledge, and behaviors related to ACP prior to participation, directly after, and during a 2-week follow-up.

RESULTS

Workshop participation improved the average participant confidence and knowledge related to ACP as well as encouraged some participants to engage in discussions related to end-of-life care with friends and family. Alongside the impact of the workshops on knowledge and confidence, participants positively evaluated the design of the workshops through collected qualitative feedback.

CONCLUSION

These results are encouraging in assessing this population's willingness to learn about end-of-life care planning. The tools developed and the corresponding results should be used for further exploration of engaging the young adult population in ACP to promote improved healthcare outcomes.

摘要

目的

本初步研究旨在评估一种互动式、同伴主导的健康参与工作坊在提高年轻人对预先医疗指示(ACP)的信心和理解方面的可行性和效果。其次,本研究评估了此类工作坊是否可以促进该人群的 ACP 相关行为改变。

方法

本观察性队列研究采用重复测量、混合方法设计。在大学学生组织的会议期间,与本科生进行了六次长达一小时的面对面工作坊。在参与前、直接参与后和为期两周的随访期间,通过 3 次混合方法调查评估参与者与 ACP 相关的信心、知识和行为。

结果

工作坊的参与提高了参与者在 ACP 方面的平均信心和知识水平,并鼓励一些参与者与朋友和家人讨论临终关怀。除了工作坊对知识和信心的影响外,通过收集的定性反馈,参与者对工作坊的设计给予了积极评价。

结论

这些结果令人鼓舞,评估了该人群对学习临终关怀规划的意愿。应使用开发的工具和相应的结果进一步探索让年轻成年人参与 ACP,以促进改善医疗保健结果。

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